Laparoscopy in Infertility Treatment

Laparoscopy is a surgical procedure that involves insertion of a narrow telescope like instrument through a small incision in or around the umbilicus. This allows the visualization of the abdomen and pelvic organs including the uterus, Fallopian tubes and ovaries.

Through laparoscopy, the fertility doctor will be able to see the abnormalities that might interfere with a women’s ability to conceive.

The polycystic ovaries, endometriosis, other cysts in the ovaries can be diagnosed.

Diagnosis for:

  • Hydrosalpinx
  • Ectopic
  • Pocketing
  • Blockage in the fallopian tubes.
  • Fibroids and other masses in the uterus.
  • Adhesions all over.

If any defects are found, they then can be corrected at the same time.

In general, semen analysis, hysterosalpingogram, assessment of ovulation and ovarian reserve should be the initial investigations and if no cause of infertility found, laparoscopy should be done.

Performed under general anesthesia, a laparoscope which is a thin fibro optic telescope is inserted into the abdominal cavity. The fiber optics allows light to enter and the carbon dioxide gas helps in separation of the various abdominal organs for clear vision.

 

Advantages of laparoscopy in infertility

Helps in the diagnosis of infertility

  • A woman with severe endometriosis can be identified, by USG but a woman with mild endometriosis can only be diagnosed by laparoscopy
  • Adhesion – cannot be seen with USG, Xrays, CT scans. They can interfere with the ability to conceive if they make it more difficult for the egg to get into the Fallopian tubes at the time of ovulation.
  • Small incision
  • Shorter hospital stay
  • Less adhesion

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